title: Stability of intraocular pressure after retinal reattachment surgery during electroconvulsive therapy for intractable self-injury in a 12-year-old autistic boy.
abstract: We present a 12-year-old autistic boy who underwent electroconvulsive therapy (ECT) for intractable self-injury toward his head and eyes in the context of acute bilateral retinal detachment and reparative surgery. The patient received 3 ECTs before retinal reattachment surgery, and resumed ECT 2 weeks postoperatively. Bilateral intraocular pressures were monitored before and after the first 7 ECTs and intermittently after ECT for 10 months of maintenance ECT. There was no evidence of sustained intraocular pressure elevation or instability. This report supports the safety of ECT for repetitive self-injury in youth before and after emergent ophthalmologic surgery for trauma-related injury.
authors.affiliation: From the *Kennedy Krieger Institute, Johns Hopkins School of Medicine and †Johns Hopkins School of Medicine, Baltimore, MD.
authors.forename: Lee Elizabeth
authors.initials: LE
authors.lastname: Wachtel
authors.forename: Irving Michael
authors.initials: IM
authors.lastname: Reti
authors.forename: Howard
authors.initials: H
authors.lastname: Ying
mesh_terms: D000374:Aggression; D000927:Anticonvulsants / Q000627:therapeutic use; D014150:Antipsychotic Agents / Q000627:therapeutic use; D001321:Autistic Disorder / Q000150:complications / Q000523:psychology*; D002648:Child; D004565:Electroconvulsive Therapy / Q000379:methods*; D005442:Flumazenil / Q000627:therapeutic use; D018757:GABA Modulators / Q000627:therapeutic use; D006220:Haloperidol / Q000627:therapeutic use; D006801:Humans; D006993:Hypnotics and Sedatives / Q000627:therapeutic use; D007429:Intraocular Pressure / Q000502:physiology*; D008140:Lorazepam / Q000627:therapeutic use; D008297:Male; D013508:Ophthalmologic Surgical Procedures; D011595:Psychomotor Agitation; D012163:Retinal Detachment / Q000601:surgery*; D016728:Self-Injurious Behavior / Q000523:psychology* / Q000628:therapy*
chemical_list: D000927:Anticonvulsants; D014150:Antipsychotic Agents; D018757:GABA Modulators; D006993:Hypnotics and Sedatives; D005442:Flumazenil; D006220:Haloperidol; D008140:Lorazepam